Permit � CITY CIT OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00148
ri _ ' Iek" DEVELOPMENT SERVICES DATE ISSUED: 3/15/2005 •
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 2S112AB
SITE ADDRESS: 07330 SW LANDMARK LN ZONING: I -H
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: (1) branch circuit & extend (1) circuit.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL:
MANF HM/ SVCI FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
SUMMIT PROPERTIES INC OREGON ELECTRIC CONST /GROUP
4444NWYEON 1010 SE 11TH AVE
PORTLAND, OR 97210 PORTLAND, OR 97214
Phone: Phone: 503 - 535 - 2652
FEES Reg #: LIC 203
SUP 4460S
Description Date Amount ELE 26 - 95C
[ELPRMT] ELC Permit 3/15/2005 $53.50
[TAX] 8% State Surcharge 3/15/2005 $4.28 REQUIRED ITEMS AND REPORTS
Total $57.78
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are ort ir�OAR 952 - 001 - 0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503 -246- 699 or 1 -800- 3 " 4. !-
Issued / I J,L� l,, l Permittee Signat wrillilrortve — _
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
t ONTRACTOR INST , LLATION ONLY
r
SIGNATURE OF SUPR. ELEC'N // . a� �� DATE:
LICENSE NO: 4/�� 6 -
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
1) '?.-11-05 10:04AM FROM - Oregon Electric Es imating 5032313587 T -755 P.001 /002 F -817
Electrical Permit
�+fu , "F,S'1`i... .
ltxeivul j l/ - 2) 1) j Permit No.: 6L C-ZA 5-61,
City of Tigard nv:
13125 SW Hail Blvd, Tigard, OR 97223 atton
` �� . 1 20 5 Plan Review Other pmt;
Inspection
Phone: 503.639.4171 Farr 503.598.19 t • '- " ,T e'`fl � i , Datc/B :
Line: 503.639.4175 Rr. v�" n°t ium: H See Page2for
me CIT OF S1GP No hod / Sapplenrerrtal
Internet: wwW.q.tigerd_or.US MS.�� -
F •WORK : FLAN REVIEW
•
0 New construction ® Addition/alteration/replacement Please check all that apply:
❑Service over 225 amps, comm'1 ❑Iiazardoas location
0 Demolition ❑ Other. _ ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY. OF •CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential El ❑ S over 600 volts nominal amts in one structure 1- and 2 family dwelling Commercial/industrial ❑Accessary building []13uilding over three stories ❑ Feeders, 400 stops or more
❑Mtlti family ❑ Master birilder ❑ O ❑Occupant load over 99 persons ❑Manufactutcd structures or
JOB SITE INFORMATION 'AND LOCA'T'ION ❑Egress/lighting plan RV park
❑Health -care facility ❑Other: _
Job no.: 85040 Sob site address: 7330 SW Landmark Lane
Submit 2 sew of plans with any of the above -
City /State%LIP: Tigard, OR 97224 The above are not applicable to temporary construction service.
- FEE* SCHEDULE .
Suite / bldg . /opt. no.: Project name: TVT Die Casting n.ttea 1 Qty. 1 6 E rent
Cross street/directions to job site: New rvsidemlal single- or multi- fiutdJy dwelling unit
Includes attached garage.
1,000 so. it or less 145.15 4
Subdivision: Lot no.: &a. add'l 500 sq. ft. or portion , 33.40 1
Limited energy, residential 75.00 2
Tax mapfparcel no.: _ _ Limited energy, non-residential 75.00 2
- , DESCRIPTION OF WORK. Each manufactured or modular
— dwelling, service and/or feeder 90.90 2
extend (1) 100A ckt and install (1) ckt for new 603 machine Services or feeders installation, alteration, and/or relocation
200 amps or less 8030 2
Z01 amps to 400 amps 106.85 2 • ❑ PROPERTY OWNER d TENANT • 401 amps to 600 amps 160.60 2
Name: TVT Die Casting 601 amps to 1,000 amps 240.60 2
Address: 7330 SW Landmark Lane Over 1,000 amps or volts 454.65 2
— Reconnect only , 66.85 ` 2
City /State/T(F: Tigard, OR 97224 Temper: wry services or feeders inst dLdiou, alteration, and/or
relocation
Phone: (503)639 - 3850 1 Fax: ( ) _ 200 amps oriess 66.85 1
Owner installation: This installation is being made on property that I own wbich is not 201 amps to 400 tulips 100.30 2
intended for stile, lease, rent, or excl,anQe, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: - - Date: - Brans circuits - dew, alteration, or extension. per panel
. ❑ APPLICANT ' . 1 • 0 CONTACT PERSON .. A. Fee for branch circuits with
service or feeder fcc. web 6.65 2
Business name: branch circuit
13. Fee for branch circuits
Contact name: without service or feeder fcc, I 46.85 4/C4 f 2
each branch circuit
Address: Each add'l branch circuit i 6.65 G - 2
City /StateIZIE': Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone. ( ) I Fax . ( ) _ Sign or outline lighting 53.40 2
E Signal circuit(s) or limited-
• CONT32ACT.OIt energy panel, *Iteration, or
- extension. Describe: Page 2 2
Business name: Oregon Electric Group
Address: 1010 ST llth Ave Each additional Inspection over allowable in any of the above
Per inspection 62.50 _ -
City /State/ZIP: Portland, OR 97214 Investigation per hour (i hr min) 62.50
Industrial plant per Four 73.75
Phone; (503)734 9900 Fax: (503)535 ELECTRICAL PERNIIT FELLS" •
CCB Lic.: 203 Electrical Lic.: 26 -95C Suprv. Lic.: 4460S subtotal S 3 S/'
Suprv. Electrician signature, required- .17f ' _ Plan review (25 %of permit fee)
r
r State surcharge (8% orpatmit fee) y r '2 }f
Print nano: Data: c E7' v 05
TOTAL PERMIT PEE 3' 7 • 7
Authorized si 11ve: 1� � /��/ Thos permit appiscatton eiplres ire permit is not obtained within 150
!�• days attar it has been nccepled as complete
Print name: . , ., �I , 1 _ Date; 3/11/05 • Fee methodology sec by Tri- County Building Industry Service Board
• . /V •• Number of inaveeeans per ncarnit allowed
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200&00148 '
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/15/2005
Phone: (503) 639 -4171 � �F��4H�� ml �I�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/3/2005 TIME: 7:14AM PAGE: 79
SITE ADDRESS: 07330 SW LANDMARK LN CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TVT DIE CASTING
DESCRIPTION: ( branch circuit & extend (1) circuit.
OWNER: SUMMIT PROPERTIES INC PHONE #:
CONTRACTOR: OREGON ELECTRIC CONST /GROUP PHONE #: 503 - 535 -2652
Inspection Request Scheduled For: Date: 5/3/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 005943.01 503 - 639-3050 Y
Corrections /Comments /Instructions:
t cC ti C
L \ V\ C) 9 CP\ , . 1
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❑ -PASS- - PARTIAL APPROVAL -- ❑- CANCEL ❑ NO- ACCESS - --
I I FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ '
Inspector: / ix _ Date: � 3 � 2 � Phone #: (503) 718-